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<head>
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  <title>门诊收费系统-注册</title>
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<body id="falcon" class="authentication">
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    <div class="header header-filter" style="background-image: url('assets/images/login-bg.jpg'); background-size: cover; background-position: top center;">
      <div class="container">
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          <div class="col-md-4 col-md-offset-4 col-sm-6 col-sm-offset-3 text-center">
            <div class="card card-signup">
              <form class="form" method="regist" action="POST">
                <div class="header header-warning text-center">
                  <h4>中北大学校医院门诊收费系统</h4>
                </div>
                <h3 class="mt-0">新入院患者注册</h3>
                <p class="help-block">祝您早日康复</p>
                <div class="content">
                  <div class="form-group">
                    <input type="text" class="form-control" name="UserName" placeholder="输入您的姓名">
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                    <input type="text" class="form-control underline-input" name="UserTel" placeholder="输入您的联系方式">
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                    <input type="password" placeholder="输入您的密码" name="Password" class="form-control" />
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                  <input type="submit" class="btn btn-info btn-raised" value="注册">
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